• The position of the joint fusion should allow for the best function, which includes grasp function and the ability to put on a glove.

• The goal of the procedure is to provide complete pain relief and maximize function.

• Fixation can be assessed with intraoperative radiographs.

Diagnostic Studies

Radiographs, including posteroanterior (PA) (Fig. 72—1), lateral, and oblique views, demonstrated degenerative changes with associated subluxation at the MP joints and the PIP joints.

Differential Diagnosis

Degenerative joint disease Rheumatoid arthritis Septic joint

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